“Awareness and Knowledge of Attention Deficit Hyperactivity Disorders among School Counselors and Primary School Teachers in the United Arab Emirates”

CONSENT FORM



Study Principal investigator :



Name : Dr. Mohammed Bardi



Contact details :



Al Amal Hospital



Mobile 0547000992



Email Mohammed.Bardi@moh.gov.ae



 



Dear participant,



If you are willing to take part in the study, we would request you to please sign and return the following form:



STATEMENTS OF UNDERSTANDING/CONSENT





Based upon the above, I agree to take part in this study.



 



Participant : Name, signature and date



Name of participant……(participant's electronic credentials are used as the tool is electonically filled in) ………………… Date…………… Signature………………..



Individual obtaining consent ………m-survey……... Date……April 2019……… Signature……m-survey…https://msurvey.government.ae/modifySurvey/3995/en



 



For any queries / complaints, please contact ;



Research Ethics Committee Coordinator :



Tel : 04 7078538



Email : yusra.suwaidat@moh.gov.ae



 



 





Version 2 / 18-12-2018



This study is part of a project that aims at creating innovative solutions in managing children with symptoms of Attention Deficit and Hyperactivity Disorder (ADHD). The collated data will inform policy makers, regulators, and clinicians to make informed decisions based on empirical findings. Schools are our top partners in this endeavor and we look forward to establishing a collaboration platform that will help little ones to positively challenge their own life limitations. You do not really need to read any references to answer the questions, just provide the choice you think is the most appropriate. This scale is adapted from KADDS, Sciutto et al., 2000. 


*Please complete mandatory questions to proceed.
Q.1
Age group you belong to:
Q.2
Your gender:
Q.3
The geographic region of your country of origin :
Q.4
Years of experience as a teacher:
Q.5
The school you currently teach at :
Q.6
The pupils you curenlty teach:
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